Individual
ALISE PANGRAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LIC/CCC-SLP TSSLD
Contact information
Practice address
590 FISHERS STATION DR STE 130, VICTOR, NY 14564-9744
(585) 924-7207
Mailing address
590 FISHERS STATION DR STE 130, VICTOR, NY 14564-9744
(585) 924-7202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031151-01
NY
Other
Enumeration date
01/15/2019
Last updated
10/06/2021
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